Improving Adjustment and Resilience in Children Following a Disaster: Addressing Research Challenges

被引:28
作者
Grolnick, Wendy S. [1 ]
Schonfeld, David J. [2 ,3 ]
Schreiber, Merritt [4 ]
Cohen, Judith [5 ]
Cole, Valerie [6 ]
Jaycox, Lisa [7 ]
Lochman, John [8 ]
Pfefferbaum, Betty [9 ]
Ruggiero, Kenneth [10 ,11 ]
Wells, Kenneth [12 ]
Wong, Marleen [2 ]
Zatzick, Douglas [13 ]
机构
[1] Clark Univ, Frances L Hiatt Sch Psychol, 950 Main St, Worcester, MA 01610 USA
[2] Univ Southern Calif, Suzanne Dworak Peck Sch Social Work, Los Angeles, CA USA
[3] Childrens Hosp Los Angeles, Los Angeles, CA USA
[4] Univ Calif Los Angeles, David Geffen Sch Med, Dept Pediat, Harbor Univ Calif,Med Ctr, Los Angeles, CA 90095 USA
[5] Drexel Univ, Coll Med, Dept Psychiat, Philadelphia, PA USA
[6] Amer Red Cross, Washington, DC 20006 USA
[7] RAND Corp, Arlington, VA USA
[8] Univ Alabama, Dept Psychol, Box 870348, Tuscaloosa, AL 35487 USA
[9] Univ Oklahoma, Coll Med, Dept Psychiat & Behav Sci, Norman, OK 73019 USA
[10] Med Univ South Carolina, Dept Nursing, Charleston, SC USA
[11] Med Univ South Carolina, Dept Psychiat, Charleston, SC USA
[12] Univ Calif Los Angeles, David Geffen Sch Med, Dept Psychiat & Behav Sci, Los Angeles, CA 90095 USA
[13] Univ Washington, Sch Med, Dept Psychiat & Behav Sci, Seattle, WA 98195 USA
关键词
disasters; children; intervention; resilience; POSTTRAUMATIC-STRESS-DISORDER; RANDOMIZED CONTROLLED-TRIAL; MENTAL-HEALTH-CARE; WORLD-TRADE-CENTER; ELEMENTARY-SCHOOL-CHILDREN; HURRICANE KATRINA; PREVENTIVE INTERVENTIONS; COMMUNITY ENGAGEMENT; POPULATION-IMPACT; PEDIATRIC INJURY;
D O I
10.1037/amp0000181
中图分类号
B84 [心理学];
学科分类号
04 ; 0402 ;
摘要
There is compelling evidence of the potential negative effects of disasters on children's adjustment and functioning. Although there is an increasing base of evidence supporting the effectiveness of some interventions for trauma following disaster, more research is needed, particularly on interventions that can be delivered in the early aftermath of disaster as well as those that can address a broader range of adjustment difficulties such as bereavement that may be experienced by children after a disaster. This article identifies gaps in the knowledge of how best to intervene with children following disasters. Key challenges in conducting research in disaster contexts, including obtaining consent, designing rigorous studies, and obtaining funding quickly enough to conduct the study, are discussed. Several strategies hold promise to address research challenges in disasters, including using alternative designs (e.g., propensity scores, matched control groups, group-level assignment), working with schools and communities, and studying implementation of nontraditional modes of intervention delivery.
引用
收藏
页码:215 / 229
页数:15
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